Individual
GOLDA CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E 19TH ST, MOUNTAIN GROVE, MO 65711-1114
(417) 926-6563
Mailing address
500 E 19TH ST, MOUNTAIN GROVE, MO 65711-1114
(417) 926-6563
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2012037788
MO
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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